MEDICARE: HORIZON FAMILY AND COMMUNITY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487120374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON FAMILY AND COMMUNITY SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 507
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-0507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3960 INDUSTRIAL BLVD STE 600
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-3496
Country	:	US
Telephone Number	:	916-752-8965
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JALENA RUSAW
Credential	:	LMFT
Telephone Number	:	916-416-7287

Provider Enumeration Date	:	10/17/2018
Last Update Date	:	07/25/2024

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